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Billing code L1850 · Equipment & supplies

L1850 Medicaid reimbursement rate by state (2026)

Knee orthosis, swedish type, prefabricated, off-the-shelf. Medicaid pays a median of $216.35 for L1850 across 49 states, from $125.00 in Alabama to $409.67 in North Dakota.

Data as of Oct 5, 202649 statesEvery rate links to its official source

States publishing
49
National median
$216.35units vary by state
Lowest
$125.00Alabama
Highest
$409.67North Dakota
Answer

What does Medicaid pay for L1850?

49 state Medicaid programs publish a fee-for-service rate for L1850. The national median is $216.35 (units differ between states). North Dakota pays the most, $409.67, and Alabama the least, $125.00, a 3.3x spread.

State ranking

L1850 rate by state: highest, middle and lowest

One like-for-like fee-for-service rate per state, ranked. The workspace lists all 49 states with every variant, modifier and effective date.

#StateMedicaid rateUnitPer hourManaged-care plans% of Medicare
1North Dakota Source · since 2026-07-01$409.67——Not classified—
2Hawaii Source · since 2026-06-01$399.68——Plans negotiate; applies out of network—
3Alaska Source · since 2026-01-01$390.22——Not classified—
24Wisconsin Source · since 2008-07-01$218.82——Plans negotiate; applies out of network—
25Missouri Source · since 2019-07-01$216.35——Plans negotiate; applies out of network—
26North Carolina Source$214.72——Plans negotiate; applies out of network—
48Maryland Source · since 2026-01-01$143.18——Not classified—
49Alabama Source · since 2026-05-20$125.00——Not classified—
See all 49 states for L1850 — start free

41 more states, with every modifier and provider-type variant, rate history and the plan rule in each state. 14-day free trial, no credit card.

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Rates are per the unit shown for each state; units can differ between states. Medicare amounts are computed from the CMS relative value file and locality cost indices; states with several Medicare localities show a range. Confirm rates with the payer before billing.

Track L1850 in your states. Get an alert when any state changes it, with every variant and the managed-care rule.
FAQ

Frequently asked questions

What does Medicaid pay for L1850?

It depends on the state. Of the 49 states with a published fee-for-service rate, the median is $216.35. North Dakota pays the most ($409.67) and Alabama the least ($125.00).

Which state pays the highest Medicaid rate for L1850?

North Dakota, at $409.67, effective 2026-07-01.

Do managed-care plans pay the same rate for L1850?

Not necessarily. Each state's plan contracts decide whether plans must pay at least the fee-for-service rate, pay a state-set rate, or negotiate their own. The workspace shows the rule for each state, cited to the contract or statute.